EDI Analyst

Brandon, FL

Posted: 06/07/2019 Job Number: 12855677
Summary
ED
The EDI Analyst is responsible to create and maintain end-to-end healthcare related EDI transactions. The EDI Analyst keeps the management informed of all the deliverables set for a given project. This position is also responsible for providing advice on EDI mapping and specifications, to review solution designs before implementation is started.

Essential Duties and Responsibilities
  • Responsible for understanding EDI transaction set structures and tracking changes to these structure
  • The EDI analyst will leverage EDI knowledge in claims, enrollment, eligibility, and financial systems. Gather requirements, perform analyses, implement solutions and track outcomes to ensure accuracy of all transactions
  • Works on multiple vendor integrations simultaneously, with a focus on detail orientation and regular status updates with vendors, operation teams and Management
  • Works closely with EDI Development, implementation teams, and account management teams to insure high quality EDI implementations
  • Clarifies requirements and influences business decisions that lead to the right solutions (creates repeatable processes that enable the required business capabilities)
  • Provides day-to-day support and maintenance of existing EDI integrations
  • Implements new EDI integrations, and supports changes to existing integrations
  • Identifies areas of concern and improvement opportunities in current EDI infrastructure
  • Develops EDI best practices and standards
  • Assists in the design and development of new transaction types through EDI
  • Establishes schedules within the EDI tools to transmit, receive and process EDI documents
  • Performs other duties as assigned

Knowledge, Skills and Abilities
  • Ability to navigate and master proprietary software programs successfully
  • Proficient in MS Office with computer and keyboarding skills
  • In depth knowledge of Healthcare EDI transactions (i.E. 837, 834, 820, 277, etc.)
  • A drive for results, with a demonstrable bias for action; high levels of maturity, and professionalism; giving, receiving and responding to feedback effectively
  • A consistently high service orientation; and demonstrable commitments to diversity inclusion, a respectful workplace, and integrity
  • Strong appreciation and ability to handle confidential & sensitive information
  • Excellent verbal and written communication skills
  • Strong customer relations, interpersonal skills
  • Ability to handle difficult situations tactfully and diplomatically
  • Independent judgment in decision making and problem solving
  • Ability to multi-task & anticipate potential needs/problems
  • Strong attention to detail

Qualifications
  • Experience in Benefits Administration Systems
  • General understanding of the file transfer protocol (FTP) process.
  • In depth knowledge of HIPAA/EDI X12 5010 healthcare-related files: 834, 820, 835, 837, 270, 271, 276, 277, 278, and 999 format is required.
  • Knowledge of
  • XML, SQL, PostgreSQL
  • Fluent with commonly used EDI concepts, practices and procedures within the healthcare industry
  • Project management experience in IT and experience in agile teams
  • Analytical and creative problem solving skills
  • Excellent organizational skills with the ability to manage multiple tasks and priorities
  • Leadership, communication, interpersonal skills coupled with strong customer driven orientation
  • Bachelor's degree in a technical, business, or scientific related field

Work Environment / Physical Demands

This position is in a typical office environment, which requires prolonged sitting in front of a computer. Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment including operation of standard computer and phone equipment. May have occasional high stress when deadlines are approaching.

EOE M/F/D/V

Cheryl Savage

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